PINE ISLAND DERMATOLOGY, LLC
NPI 1508580200
Dermatology in Palm Beach Gardens, FL
About Pine Island Dermatology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINE ISLAND DERMATOLOGY, LLC (NPI 1508580200) is a healthcare organization registered as a dermatology in Palm Beach Gardens, Florida and active in the NPI registry since September 2022. The organization lists Sergey Arutyunyan, Dermatologist/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pine Island Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pine Island Dermatology, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 10D2276172
Pine Island Dermatology, LLC · Palm Beach Gardens, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pine Island Dermatology, LLC's NPI number?
The NPI number for Pine Island Dermatology, LLC is 1508580200. It was assigned to this organization in the NPPES registry on September 27, 2022.
Where is Pine Island Dermatology, LLC located?
Pine Island Dermatology, LLC is located at 3365 Burns Rd Ste 217, Palm Beach Gardens, FL 33410. The listed phone number is (772) 485-5574.
What is Pine Island Dermatology, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Pine Island Dermatology, LLC enrolled in Medicare?
Yes. Pine Island Dermatology, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pine Island Dermatology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Pine Island Dermatology, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pine Island Dermatology, LLC was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.